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IRS Form 941

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Form 941 is used by employers to report the applying entity’s federal withholding on a quarterly basis. It is used by PPP lenders to verify payroll expenses and must account for a continuous year of information (last 4 quarters).

The form_type parameter TAX_941 for the Upload PDF endpoint is required for this Form Type.

Optional fields captured

📘

Configuration-driven output

All fields below are optionally captured, depending on your order form. To adjust fields captured, please speak with your Ocrolus Account Manager.

JSON attributeData typeDescription
tax_941-General:taxFormYearTextNumerical description of the Form's pre-printed year, e.g. "2020" for a 2020 Q1 form.
tax_941-General:nameTextOfficial name of the applying entity
tax_941-General:tradeNameText"Doing business As" or other trade name affiliated with applying entity
tax_941-General:address:numberAndStreetTextStreet address of the entity
tax_941-General:address:suiteOrRoomNumberTextOffice number or suite number of the applying entity
tax_941-General:address:cityTextCity of applying entity
tax_941-General:address:stateTextState the applying entity resides in, Formatted as a 2 character state code
tax_941-General:address:zipText5 digit zip code in which applying entity resides
tax_941-General:address:foreignCountryNameTextDefault is_empty = TRUE, Country from which applying entity resides if not USA
tax_941-General:address:foreignPostalCodeTextDefault is_empty = TRUE. International postal code applying entity resides in if not USA
tax_941-General:address:foreignProvince/CountryTextDefault is_empty = TRUE. International address of applying entity if not in USA
tax_941-General:employerIdentificationNumber(Ein)Text9 digit string representing applying entity's tax ID
tax_941-General:reportForTheQuarterOf2020 1 JANUARY FEBRUARY MARCH 2 APRIL MAY JUNE 3 JULY AUGUST SEPTEMBER 4 OCTOBER NOVEMBER DECEMBERQuarter from which this tax document applies
tax_941-Part1:line1TextNumber of people employed by applying entity
tax_941-Part1:line2MoneyTotal amount in wages paid out by applying entity to employees for the quarter
tax_941-Part1:line3MoneyEntity's quarterly federal income tax withheld amount
tax_941-Part1:line4CHECKEDNOT CHECKEDDefault is_empty = TRUE.
tax_941-Part1:line5A:column1MoneyEntity's quarterly taxable Social Security wages
tax_941-Part1:line5A:column2MoneyEntity's quarterly taxable Social Security wages
tax_941-Part1:line5B:column1MoneyEntity's quarterly taxable Social Security tips
tax_941-Part1:line5B:column2MoneyEntity's taxable Social Security tips
tax_941-Part1:line5C:column1MoneyEntity's taxable Medicare wages
tax_941-Part1:line5C:column2MoneyEntity's taxable Medicare wages
tax_941-Part1:line5D:column1MoneyEntity's taxable wages and tips
tax_941-Part1:line5D:column2MoneyEntity's taxable wages and tips
tax_941-Part1:line5EMoneyCalculated Field leveraging 5a-5d
tax_941-Part1:line5FMoneyEntity's taxes due on unreported tips
tax_941-Part1:line6MoneyEntity's total taxes before adjustments
tax_941-Part1:line7MoneyCurrent quarter adjustments for Entity
tax_941-Part1:line8MoneySick pay adjustments
tax_941-Part1:line9MoneyTips and group term adjustments
tax_941-Part1:line10MoneyCalculated field leveraging line6-line9
tax_941-Part1:line11MoneyEntity's federal small business payroll tax credits
tax_941-Part1:line12MoneyCalculated field between line11, line12
tax_941-Part1:line13MoneyEntity's total deposits for the quarter
tax_941-Part1:line14MoneyCalculated field between line12, line13
tax_941-Part1:line15:checkOneAPPLY TO NEXT RETURNSEND A REFUNDEntity's over payment of taxes, if applicable
tax_941-Part1:line15:overpaymentMoneyDefault is_empty = TRUE, Overpayment amount
tax_941-Part2:line16:checkOne LINE 12 ON THIS RETURN IS LESS THAN $2500 OR LINE 12 ON THE RETURN FOR THE PRIOR QUARTER WAS LESS THANK $2500 YOU WERE A MONTHLY SCHEDULE DEPOSITOR FOR THE ENTIRE QUARTER * YOU WERE A SEMIWEEKLY SCHEDULE DEPOSITOR FOR ANY PART OF THIS QUARTER.Deposit schedule information
tax_941-Part2:line16-TaxLiability:month1MoneyEntity's tax liability for first month of quarter
tax_941-Part2:line16-TaxLiability:month2MoneyEntity's tax liability for second month of quarter
tax_941-Part2:line16-TaxLiability:month3MoneyEntity's tax liability for third month of quarter
tax_941-Part2:totalLiabilityForQuarterMoneyEntity's aggregate liability for the quarter
tax_941-Part3:line17-BusinessHasClosedOrYouStoppedPayingWagesCHECKEDNOT CHECKEDEntity's Business Information
tax_941-Part3:line17-FinalDateYouPaidWagesDateDate applying entity stopped paying wages.
tax_941-Part3:line18-SeasonalEmployeeCHECKEDNOT CHECKEDIf applying entity is a seasonal business
tax_941-Part4:doYouWantToAllowAnEmployeeYESNOThird Party Designee
tax_941-Part4:designeeIrsPinText5 digit pin of designee
tax_941-Part4:designeeNameAndPhoneNumber:nameTextDesignated employee name
tax_941-Part4:designeeNameAndPhoneNumber:phoneNumberTextDesignated employee phone number. Formatted (XXX) XXX-XXXX
tax_941-Part5:bestDaytimePhoneTextBest phone number to reach designated employee. Formatted (XXX) XXX-XXXX
tax_941-Part5:nameTextEntity's Signatory
tax_941-Part5:titleTextTitle of Signatory
tax_941-Part5:signatureSIGNEDNOT SIGNED"SIGNED" / "NOT SIGNED" determine if a signature was found on the application
tax_941-Part5:signatureDateDateDate of the Entity's signatory's signature
tax_941-Part5:preparer-Address:addressLine1TextAddress of tax document preparer
tax_941-Part5:preparer-Address:cityTextCity of tax document preparer
tax_941-Part5:preparer-Address:stateTextState in which the tax document preparer resides. Formatted 2 character state code
tax_941-Part5:preparer-Address:zipText5 digit zip code of preparer's address
tax_941-Part5:preparer-CheckIfYouAreSelfEmployedCHECKEDNOT CHECKEDIf preparer of tax document is self employed
tax_941-Part5:preparer-EinTextPreparer's EIN
tax_941-Part5:preparer-FirmName(OrYoursIfSelf-Employed)TextFirm that employs the tax document preparer
tax_941-Part5:preparer-NameTextName of the individual preparing this tax document
tax_941-Part5:preparer-PhoneTextPhone number of preparer. Formatted (XXX) XXX-XXXX
tax_941-Part5:preparer-PtinText
tax_941-Part5:preparer-SignatureSIGNEDNOT SIGNED"SIGNED" / "NOT SIGNED" determine if a signature was found on the application
tax_941-Part5:preparer-SignatureDateDateDate of the tax document preparer's signature.
tax_941-941-V:line1-EmployerIdentificationNumber(Ein)Text9 digit Employee identification number
tax_941-941-V:line2-EnterTheAmountOfYourPayment:centsTextNumber representing dollar value of payment
tax_941-941-V:line2-EnterTheAmountOfYourPayment:dollarsTextNumber representing cent value of payment
tax_941-941-V:line3-TaxPeriod1ST QUARTER2ND QUARTER3RD QUARTER4TH QUARTERQuarter for which this voucher applies
tax_941-941-V:line4-Address:addressLine1TextAddress of voucher holder company
tax_941-941-V:line4-Address:cityTextCity of voucher holder company
tax_941-941-V:line4-Address:stateTextState in which voucher holder resides
tax_941-941-V:line4-Address:zipText5 digit ZIP code of voucher company
tax_941-941-V:line4-EnterYourBusinessName(IndividualNameIfSoleProprietor)TextBusiness Name of voucher holder

Sample form

The below Ocrolus sample PDF (input) matches the below sample JSON result (output).

Sample JSON result

{
  "form_type": "TAX_941",
  "pk": 4580798,
  "form_config_pk": 1390,
  "raw_fields": {
     "tax_941-General:taxFormYear": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "2020"
    },
    "tax_941-General:employerIdentificationNumber(Ein)": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "12-3456789"
    },
    "tax_941-General:name": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "OCROLUS INC."
    },
    "tax_941-General:tradeName": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-General:address:numberAndStreet": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "101 GREENWICH STREET"
    },
    "tax_941-General:address:suiteOrRoomNumber": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-General:address:city": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "NEW YORK"
    },
    "tax_941-General:address:state": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "NY"
    },
    "tax_941-General:address:zip": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "10006"
    },
    "tax_941-General:address:foreignCountryName": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-General:address:foreignProvince/Country": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-General:address:foreignPostalCode": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-General:reportForTheQuarterOf2020": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "1 JANUARY, FEBRUARY, MARCH"
    },
    "tax_941-Part1:line1": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "100"
    },
    "tax_941-Part1:line2": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "1000000.00"
    },
    "tax_941-Part1:line3": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "180000.00"
    },
    "tax_941-Part1:line4": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "NOT CHECKED"
    },
    "tax_941-Part1:line5A:column1": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "1000000.00"
    },
    "tax_941-Part1:line5A:column2": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "124000.00"
    },
    "tax_941-Part1:line5B:column1": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "1000000.00"
    },
    "tax_941-Part1:line5B:column2": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "124000.00"
    },
    "tax_941-Part1:line5C:column1": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "1000000.00"
    },
    "tax_941-Part1:line5C:column2": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "29000.00"
    },
    "tax_941-Part1:line5D:column1": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "1000000.00"
    },
    "tax_941-Part1:line5D:column2": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "9000.00"
    },
    "tax_941-Part1:line5E": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "286000.00"
    },
    "tax_941-Part1:line5F": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "0.00"
    },
    "tax_941-Part1:line6": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "466000.00"
    },
    "tax_941-Part1:line7": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "0.00"
    },
    "tax_941-Part1:line8": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "0.00"
    },
    "tax_941-Part1:line9": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "0.00"
    },
    "tax_941-Part1:line10": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "466000.00"
    },
    "tax_941-Part1:line11": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "0.00"
    },
    "tax_941-Part1:line12": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "466000.00"
    },
    "tax_941-Part1:line13": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "0.00"
    },
    "tax_941-Part1:line14": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "466000.00"
    },
    "tax_941-Part1:line15:checkOne": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "APPLY TO NEXT RETURN"
    },
    "tax_941-Part1:line15:overpayment": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075247,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "0.00"
    },
    "tax_941-Part2:line16:checkOne": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "YOU WERE A MONTHLY SCHEDULE DEPOSITOR FOR THE ENTIRE QUARTER"
    },
    "tax_941-Part2:line16-TaxLiability:month1": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "90000.00"
    },
    "tax_941-Part2:line16-TaxLiability:month2": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "90000.00"
    },
    "tax_941-Part2:line16-TaxLiability:month3": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "90000.00"
    },
    "tax_941-Part2:totalLiabilityForQuarter": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "460000.00"
    },
    "tax_941-Part3:line17-BusinessHasClosedOrYouStoppedPayingWages": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "NOT CHECKED"
    },
    "tax_941-Part3:line17-FinalDateYouPaidWages": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part3:line18-SeasonalEmployee": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "NOT CHECKED"
    },
    "tax_941-Part4:designeeIrsPin": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part4:doYouWantToAllowAnEmployee": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "NO"
    },
    "tax_941-Part4:designeeNameAndPhoneNumber:name": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part4:designeeNameAndPhoneNumber:phoneNumber": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:bestDaytimePhone": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "(646) 850-9090"
    },
    "tax_941-Part5:name": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "SIGNATOR"
    },
    "tax_941-Part5:title": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "VP FINANCE"
    },
    "tax_941-Part5:signature": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "NOT SIGNED"
    },
    "tax_941-Part5:signatureDate": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-Name": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-FirmName(OrYoursIfSelf-Employed)": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-Address:adress": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-Address:city": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-Address:state": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-Address:zip": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-CheckIfYouAreSelfEmployed": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-Ein": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-Phone": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-Ptin": {
      "alias_used": null,
      "is_empty": true,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": ""
    },
    "tax_941-Part5:preparer-Signature": {
      "alias_used": null,
      "is_empty": false,
      "page_doc_pk": 63075245,
      "source_filename": "Sample 941 - Ocrolus Sample.pdf",
      "value": "NOT SIGNED"
    },
    "tax_941-Part5:preparer-SignatureDate": {
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      "is_empty": true,
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}

Updated 2 months ago